Renzi, Eugene M
Renzi, Eugene M is an individual health care provider with primary practice located at 159 Mullin St , Watertown NY 13601-3615. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Renzi, Eugene M can be contacted via phone (315) 788-5265.Contact Information
Primary practice address
159 Mullin St
Watertown NY 13601-3615
Phone: (315) 788-5265
Fax: (315) 786-0973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 081639 | New York |
Profile Details
| NPI number | 1972593424 |
|---|---|
| LBN Legal business name | Renzi, Eugene M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972593424 | NPPES |
| New York | Other | 0200570 | GHI |
| New York | MEDICAID | 00560045 | GHI |
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